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A 52-year-old woman presents with bilateral hearing loss noticed over the past 3 years. She denies tinnitus or vertigo. Otoscopic examination is normal bilaterally with intact, healthy tympanic membranes. Tympanometry shows bilateral type As (shallow) curves. The audiogram is shown in Image 1. She is medically fit for surgery but strongly wishes to avoid an operation at this time. Which of the following is the most appropriate next step in management?

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